ALFREDO A MASSA SUCCAR MD (Credential# 563802) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2010. The license expiration date date is September 30, 2011. The license status is INACTIVE.
ALFREDO A MASSA SUCCAR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046220. The credential type is physician/surgeon. The effective date is October 1, 2010. The expiration date is September 30, 2011. The business address is 4900 N Ocean Blvd Apt 1104, Ft. Lauderdale, FL 33308-2935. The current status is inactive.
| Licensee Name | ALFREDO A MASSA SUCCAR MD |
| Credential ID | 563802 |
| Credential Number | 1.046220 |
| Credential Type | Physician/Surgeon |
| Business Address |
4900 N Ocean Blvd Apt 1104 Ft. Lauderdale FL 33308-2935 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-02-20 |
| Effective Date | 2010-10-01 |
| Expiration Date | 2011-09-30 |
| Refresh Date | 2012-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 497605 | CSP.0043244 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-24 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 4900 N OCEAN BLVD APT 1104 |
| City | FT. LAUDERDALE |
| State | FL |
| Zip Code | 33308-2935 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy L Kelleher | 3333 Port Royale Dr. S. Apt. 401, Fort Lauderdale, FL 33308 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Marj M Basili | 1831 Ne 38th Street, Ft. Lauderdale, FL 33308 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sage T Brown | 6600 Ne 22nd Way Apt 2305, Fort Lauderdale, FL 33308 | Registered Nurse | 2019-02-28 ~ 2019-11-30 |
| Leatrice T Phares | 2104 Ne 45 Street, Fort Lauderdale, FL 33308 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Colleen Blum | 254 Avalon Avenue, Lauderdale By The Sea, FL 33308 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Collateral Management LLC | 2400 E Commercial Blvd, Fort Lauerdale, FL 33308 | Real Estate Appraisal Management Company | 2019-01-01 ~ 2020-12-31 |
| Vicki K Pistor | 6000ne 22nd Way, Fort Lauderdale, FL 33308 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Carrie M Struzynski | 3032 East Commercial Blvd., #36, Fort Lauderdale, FL 33308 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Mary Schwartz | 3500 Galt Ocean Dr, Fort Lauderdale, FL 33308 | Hairdresser/cosmetician | 2017-02-01 ~ 2019-01-31 |
| Jo-ann Tabry | 2773 N E 37 Dr, Ft Lauderdale, FL 33308 | Registered Nurse | 2017-12-01 ~ 2018-11-30 |
| Find all Licenses in zip 33308 | |||
| City | FT. LAUDERDALE |
| Zip Code | 33308 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FT. LAUDERDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alfredo A Arbulu | 15 Palomba Dr Ste 9, Enfield, CT 06082-3853 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Alfredo Sabbaj Md | 32 Riverdell Dr, Shelton, CT 06484 | Physician/surgeon | 2001-05-09 ~ 2002-04-30 |
| Alfredo F Nino | 162 Hunter Dr, West Hartford, CT 06107 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Alfredo Cervantes | 3325 N Univ Ave, Provo, UT 84604 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Anthony Massa · Massa Tile | 41 Briarwood Rd, Newington, CT 06111 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Alfredo S Nino | 37 Old Brook Road, West Hartford, CT 06117 | Physician/surgeon | 2006-12-18 ~ 2008-02-29 |
| Massa Construction LLC | 311 Boston Post Rd [rear], Orange, CT 06477 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Alfredo's Deli · Alfredo Viscariello | 168 Water St, Torrington, CT 06790 | Bakery | 2001-07-30 ~ 2002-06-30 |
| Thomas F Alfredo · Alfredo Landscape Dev Corp | P O Box 250, Armonk, NY 10504 | Home Improvement Contractor | 1996-06-01 ~ 1997-11-30 |
| Joseph Francis Massa · Joseph Francis Massa Gen Cont | 561 Savin Ave, West Haven, CT 06516 | Home Improvement Contractor | ~ 1995-01-01 |
Please comment or provide details below to improve the information on ALFREDO A MASSA SUCCAR MD.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).